Amendment SA4-SSA2-SB45

SB45-SSA2-SA4,8,12 (c) The department shall prescribe the format for reporting information to the department under s. 255.18 (2).

SB45-SSA2-SA4,8,22 (d) The department shall create, and regularly review and revise, a list of information that health care providers and health care facilities must report, subject to s. 255.18 (2) (d), to the department under s. 255.18 (2). The list shall include the incident of a patient’s Parkinson’s disease or parkinsonism; necessary triggering diagnostic conditions, consistent with the latest version of the International Statistical Classification of Diseases and Related Health Problems; resulting case data on issues including diagnosis, treatment, and survival; and patient demographic information, including age, gender, and race. The Board of Regents of the University of Wisconsin System may promulgate rules to implement and administer this paragraph.

SB45-SSA2-SA4,9,2 (e) The University of Wisconsin-Madison may enter into agreements in order for the department to securely and confidentially receive information from data reporting entities and their associated electronic medical records vendors related to Parkinson’s disease testing, diagnosis, and treatment.

SB45-SSA2-SA4,9,7 (f) 1. The University of Wisconsin-Madison may enter into agreements in order for the department to disclose data collected in the Parkinson’s disease registry to another state’s Parkinson’s disease registry, a federal Parkinson’s disease control agency, a local health officer, or a researcher who proposes to conduct research on Parkinson’s disease.

SB45-SSA2-SA4,9,12 2. Before disclosing data containing confidential information to an entity under subd. 1., the University of Wisconsin-Madison shall require the entity to specify the purpose for the requested disclosure, agree in writing to maintain the confidentiality of the information and, if the entity is a researcher, provide all of the following to the University of Wisconsin-Madison:

SB45-SSA2-SA4,9,13 a. A written protocol to perform research.

SB45-SSA2-SA4,9,17 b. Documentation of approval of the research protocol by an institutional review board of a domestic institution that has a federalwide assurance approved by the office for human research protections of the federal department of health and human services.

SB45-SSA2-SA4,9,20 c. Documentation that demonstrates to the University of Wisconsin- Madison’s satisfaction that the researcher has established procedures and has the capability to maintain the confidentiality of the information.

SB45-SSA2-SA4,9,23 (4) Website. (a) By no later than the first day of the 19th month beginning after the effective date of this paragraph .... [LRB inserts date], the department shall establish and maintain a public website dedicated to the Parkinson’s disease registry under sub. (3). The department shall include on the website all of the following:

SB45-SSA2-SA4,10,4 1. Downloadable annual reports on the incidence and prevalence of Parkinson’s disease in this state.

SB45-SSA2-SA4,10,7 2. Relevant data, as determined by the department, about Parkinson’s disease and parkinsonisms for the 5-year period prior to the effective date of this subdivision .... [LRB inserts date].

SB45-SSA2-SA4,10,9 3. Other helpful resources about Parkinson’s disease, as determined by the department.

SB45-SSA2-SA4,10,11 (b) By no later than January 1 of each year, the department shall update the information specified in par. (a) 1. on the website maintained under par. (a).

SB45-SSA2-SA4,10,14 (c) The department shall publish on its website notice of the reporting requirement under s. 255.18 no fewer than 90 days before the reporting requirement takes effect.

SB45-SSA2-SA4,10,17 (5) Confidentiality. (a) Any information reported to the department under s. 255.18 (2) that could identify an individual who is the subject of the report or a health care provider submitting the report is confidential.

SB45-SSA2-SA4,10,20 (b) To ensure privacy, the department shall use a coding system for the data stored in the Parkinson’s disease registry that removes any identifying information about an individual who is the subject of a report under s. 255.18.

SB45-SSA2-SA4,10,24 (c) 1. If the University of Wisconsin-Madison or the department discloses confidential information as authorized under sub. (3) (f), the University of Wisconsin-Madison or department may include in the disclosure only the information necessary for the purpose specified under sub. (3) (f) 2.

SB45-SSA2-SA4,11,4 2. A person who obtains confidential information from the University of Wisconsin-Madison or the department under sub. (3) (f) may use the information only for the purpose specified under sub. (3) (f) 2. and may not redisclose the information.

SB45-SSA2-SA4,11,7 (d) The department shall maintain an accurate record of all persons given access to confidential information under this section. The record shall include all of the following:

SB45-SSA2-SA4,11,8 1. The name of the person authorizing access.

SB45-SSA2-SA4,11,9 2. The title, address, and organizational affiliation of any person given access.

SB45-SSA2-SA4,11,10 3. The dates of access.

SB45-SSA2-SA4,11,11 4. The specific purpose for which the information is to be used.

SB45-SSA2-SA4,11,13 (e) The department shall make the records maintained under par. (d) available for public inspection during the department’s normal operating hours.

SB45-SSA2-SA4,11,18 (f) Confidential information under this section is not available for subpoena and may not be disclosed, discoverable, or compelled to be produced in any civil, criminal, administrative, or other proceeding. Confidential information under this section is not admissible as evidence in any civil, criminal, administrative, or other tribunal or court for any reason.

SB45-SSA2-SA4,21 Section 21. 40.03 (6) (a) 1. of the statutes is amended to read:

SB45-SSA2-SA4,11,23 40.03 (6) (a) 1. Except as provided in par. (m), shall Shall, on behalf of the state, enter into a contract or contracts with one or more insurers authorized to transact insurance business in this state for the purpose of providing the group insurance plans provided for by this chapter; or

SB45-SSA2-SA4,22 Section 22. 40.03 (6) (a) 2. of the statutes is amended to read:

SB45-SSA2-SA4,12,6 40.03 (6) (a) 2. Except as provided in par. (m), may May, wholly or partially in lieu of subd. 1., on behalf of the state, provide any group insurance plan on a self- insured basis in which case the group insurance board shall approve a written description setting forth the terms and conditions of the plan, and may contract directly with providers of hospital, medical or ancillary services to provide insured employees with the benefits provided under this chapter.

SB45-SSA2-SA4,23 Section 23. 40.03 (6) (b) of the statutes is amended to read:

SB45-SSA2-SA4,12,14 40.03 (6) (b) Except as provided in par. (m), may May provide other group insurance plans for employees and their dependents and for annuitants and their dependents in addition to the group insurance plans specifically provided under this chapter. The terms of the group insurance under this paragraph shall be determined by contract, and shall provide that the employer is not liable for any obligations accruing from the operation of any group insurance plan under this paragraph except as agreed to by the employer.

SB45-SSA2-SA4,24 Section 24. 40.03 (6) (m) of the statutes is repealed.

SB45-SSA2-SA4,25 Section 25. 40.51 (9m) of the statutes is created to read:

SB45-SSA2-SA4,12,20 40.51 (9m) Every health care coverage plan offered by the state under sub. (6) and every health care coverage plan offered by the group insurance board under sub. (7) shall, if the health care coverage plan provides maternity coverage, provide coverage for abortion and any other medical services necessary to provide abortion.

SB45-SSA2-SA4,26 Section 26. 40.56 of the statutes is repealed.

SB45-SSA2-SA4,27 Section 27. 46.245 of the statutes is repealed.

SB45-SSA2-SA4,28 Section 28. 46.275 (5) (e) of the statutes is repealed.

SB45-SSA2-SA4,29 Section 29. 46.40 (8) of the statutes is amended to read:

SB45-SSA2-SA4,13,4 46.40 (8) Alzheimer’s family and caregiver support allocation. Subject to sub. (9), the department cannot distribute more than $3,058,900 $3,558,900 in each fiscal year for services to persons with Alzheimer’s disease and their caregivers under s. 46.87.

SB45-SSA2-SA4,30 Section 30. 46.48 (16) of the statutes is created to read:

SB45-SSA2-SA4,13,7 46.48 (16) Assistive technology. The department may distribute not more than $250,000 in each fiscal year for grants to provide assistive technology services.

SB45-SSA2-SA4,31 Section 31. 46.48 (21) of the statutes is created to read:

SB45-SSA2-SA4,13,13 46.48 (21) Trauma resilience grant. The department may distribute not more than $250,000 in fiscal year 2025-26 and not more than $250,000 in fiscal year 2026-27 as a grant to an organization in the city of Milwaukee to support the needs of individuals impacted by trauma and to develop the capacity of organizations to treat and prevent trauma.

SB45-SSA2-SA4,32 Section 32. 46.48 (21) of the statutes, as created by 2025 Wisconsin Act .... (this act), is repealed.

SB45-SSA2-SA4,33 Section 33. 46.48 (24) of the statutes is created to read:

SB45-SSA2-SA4,13,20 46.48 (24) Pediatric health psychology residency and fellowship training programs. The department may distribute not more than $600,000 in each fiscal year as grants to support pediatric health psychology residency and fellowship training programs.

SB45-SSA2-SA4,34 Section 34. 46.48 (27) of the statutes is created to read:

SB45-SSA2-SA4,14,4 46.48 (27) Community-based withdrawal management centers. From the appropriation under s. 20.435 (5) (bc), the department shall distribute not more than $500,000 in each fiscal year for grants to community-based withdrawal centers, including those certified as an adult residential integrated behavioral health stabilization service, residential intoxication monitoring service, or residential withdrawal management service, as those terms are defined under s. 49.45 (30p) (a) 1., 4., and 5.

SB45-SSA2-SA4,35 Section 35. 46.48 (33) of the statutes is created to read:

SB45-SSA2-SA4,14,8 46.48 (33) Diaper bank grants. The department may distribute not more than $500,000 in each fiscal year as grants to diaper banks to provide diapers to families in need.

SB45-SSA2-SA4,36 Section 36. 46.48 (34) of the statutes is created to read:

SB45-SSA2-SA4,14,12 46.48 (34) Maternal and child health. The department may distribute not more than $800,000 in each fiscal year as grants to local and community-based organizations whose mission is to improve maternal and child health in this state.

SB45-SSA2-SA4,37 Section 37. 46.48 (35) of the statutes is created to read:

SB45-SSA2-SA4,14,16 46.48 (35) Psychiatric residential treatment facilities. The department may distribute not more than $1,790,000 in each fiscal year to support psychiatric residential treatment facilities under s. 51.044.

SB45-SSA2-SA4,38 Section 38. 46.482 (1) (a) of the statutes is renumbered 46.482 (1) (bm).

SB45-SSA2-SA4,39 Section 39. 46.482 (1) (am) of the statutes is created to read:

SB45-SSA2-SA4,14,21 46.482 (1) (am) “Certified peer specialist” means an individual described under s. 49.45 (30j) (a) 1m. who has met the certification requirements established by the department.

SB45-SSA2-SA4,40 Section 40. 46.482 (1) (b) of the statutes is renumbered 46.482 (1) (c) and amended to read:

SB45-SSA2-SA4,15,2 46.482 (1) (c) “Peer recovery coach” means an individual described under s. 49.45 (30j) (a) 2. 3. who has completed the training requirements specified under s. 49.45 (30j) (b) 4.

SB45-SSA2-SA4,41 Section 41. 46.482 (2) (a) of the statutes is amended to read:

SB45-SSA2-SA4,15,6 46.482 (2) (a) Use peer recovery coaches and certified peer specialists to encourage individuals to seek treatment for a substance use disorder following an overdose.

SB45-SSA2-SA4,42 Section 42. 46.482 (2) (f) of the statutes is amended to read:

SB45-SSA2-SA4,15,10 46.482 (2) (f) Collect and evaluate data on the outcomes of patients receiving peer recovery coach or certified peer specialist services and coordination and continuation of care services under this section.

SB45-SSA2-SA4,43 Section 43. 46.533 of the statutes is created to read:

SB45-SSA2-SA4,15,15 46.533 Suicide and crisis lifeline; grants. (1) In this section, “national crisis hotline” means the telephone or text access number “988,” or its successor, that is maintained under the federally administered program under 42 USC 290bb- 36c.

SB45-SSA2-SA4,15,19 (2) From the appropriation under s. 20.435 (5) (ch), the department shall award grants to organizations that provide crisis intervention services and crisis care coordination to individuals who contact the national crisis hotline from anywhere within this state.

SB45-SSA2-SA4,44 Section 44. 46.536 (1) of the statutes is renumbered 46.536 (1) (intro.) and amended to read:

SB45-SSA2-SA4,15,23 46.536 (1) (intro.) From the appropriation under s. 20.435 (5) (cf), the department shall award all of the following grants in the:

SB45-SSA2-SA4,16,9 (a) A total amount of $250,000 in each fiscal biennium to counties or regions comprised of multiple counties to establish or enhance crisis programs to serve individuals having crises in rural areas or counties, municipalities, or regions comprised of multiple counties or municipalities to establish and enhance law enforcement and behavioral health services emergency response collaboration programs. Grant recipients under this section paragraph shall match at least 25 percent of the grant amount awarded for the purpose that the grant is received. The department may not award any single grant in an amount greater than $100,000.

SB45-SSA2-SA4,45 Section 45. 46.536 (1) (b) of the statutes is created to read:

SB45-SSA2-SA4,16,15 46.536 (1) (b) A total amount of $2,000,000 in each fiscal biennium to counties, regions comprised of multiple counties, or municipalities to establish and enhance law enforcement and behavioral health services emergency response collaboration programs. Grant recipients under this paragraph shall match at least 25 percent of the grant amount awarded for the purpose that the grant is received.

SB45-SSA2-SA4,46 Section 46. 46.73 of the statutes is created to read:

SB45-SSA2-SA4,16,19 46.73 Community dental health coordinators. From the appropriations under s. 20.435 (4) (bm) and (pa), the department shall award grants to support community dental health coordinators in rural regions of the state.

SB45-SSA2-SA4,47 Section 47. 46.74 of the statutes is created to read:

SB45-SSA2-SA4,16,23 46.74 Grants for mobile dental clinics. The department shall award grants to community health centers, as defined in s. 250.15 (1) (a), to procure and operate mobile dental clinics.

SB45-SSA2-SA4,48 Section 48. 46.995 (4) of the statutes is created to read:

SB45-SSA2-SA4,17,4 46.995 (4) The department shall ensure that any child who is eligible and who applies for the disabled children’s long-term support program that is operating under a waiver of federal law receives services under the disabled children’s long‑term support program that is operating under a waiver of federal law.

SB45-SSA2-SA4,49 Section 49. 48.375 (4) (a) 1. of the statutes is amended to read:

SB45-SSA2-SA4,17,15 48.375 (4) (a) 1. The person or the person’s agent has, either directly or through a referring physician or his or her agent, received and made part of the minor’s medical record, under the requirements of s. 253.10, the voluntary and informed written consent of the minor and the voluntary and informed written consent of one of her parents; or of the minor’s guardian or legal custodian, if one has been appointed; or of an adult family member of the minor; or of one of the minor’s foster parents, if the minor has been placed in a foster home and the minor’s parent has signed a waiver granting the department, a county department, or the foster parent the authority to consent to medical services or treatment on behalf of the minor.

SB45-SSA2-SA4,50 Section 50. 49.45 (2p) of the statutes is repealed.

SB45-SSA2-SA4,51 Section 51. 49.45 (2t) of the statutes is repealed.

SB45-SSA2-SA4,52 Section 52. 49.45 (3h) of the statutes is created to read:

SB45-SSA2-SA4,17,24 49.45 (3h) Payments to rural health clinics. (a) For services provided by a rural health clinic on or after the effective date of this paragraph .... [LRB inserts date], and before July 1, 2026, to a recipient of the Medical Assistance program under this subchapter, the department shall reimburse the rural health clinic under a payment methodology in effect on July 1, 2025, and in accordance with 42 USC 1396a (bb) (6).

SB45-SSA2-SA4,18,6 (b) For services provided by a rural health clinic on or after July 1, 2026, to a recipient of the Medical Assistance program under this subchapter, the department shall reimburse the rural health clinic using a payment methodology based on the Medicaid prospective payment system under 42 USC 1396a (bb) (1) to (3). The department shall consult with rural health clinics in developing the payment methodology under this paragraph.

SB45-SSA2-SA4,53 Section 53. 49.45 (6xm) of the statutes is created to read:

SB45-SSA2-SA4,18,11 49.45 (6xm) Pediatric inpatient supplement. (a) From the appropriations under s. 20.435 (4) (b), (o), and (w), the department shall, using a method determined by the department, distribute a total sum of $2,000,000 in each state fiscal year to hospitals that meet all of the following criteria:

SB45-SSA2-SA4,18,12 1. The hospital is an acute care hospital located in this state.

SB45-SSA2-SA4,18,17 2. During the hospital’s fiscal year, the inpatient days in the hospital’s acute care pediatric units and intensive care pediatric units totaled more than 12,000 days, not including neonatal intensive care units. For purposes of this subdivision, the hospital’s fiscal year is the hospital’s fiscal year that ended in the 2nd calendar year preceding the beginning of the state fiscal year.

SB45-SSA2-SA4,18,22 (b) Notwithstanding par. (a), from the appropriations under s. 20.435 (4) (b), (o), and (w), the department may, using a method determined by the department, distribute an additional total sum of $7,500,000 in each state fiscal year to hospitals that are free-standing pediatric teaching hospitals located in Wisconsin that have a percentage calculated under s. 49.45 (3m) (b) 1. a. greater than 45 percent.